<!DOCTYPE html>
<html>
	<head>
		<meta charset="utf-8">
		<title></title>
	<style type="text/css">
				div{
					border: 0 solid white;
					width: 312px;
					height: 353px;
					background-image: url(img/bg.jpg);
				}
				*{
					margin: 0;
					padding: 0;
				}
				form{
					padding-top: 80px;
					padding-left: 40px;
				}
				span{
					color: red;
				}
				p{
					line-height: 30px;
					color: white;
				}
				.a2{
					border-radius: 4px;
				}
				input.a3{
					padding-left: 65px;
				}
			</style>
		</head>
		<body>
			<div id="a1">
				<form action="" method="">
					<p><span>*</span>姓名：<input class="" type="text" name="name" id="" value="" /></p>
					<p><span>*</span>邮箱：<input class="" type="email" name="email" id="" value="" /></p>
					<p><span>*</span>电话：<input class="" type="text" name="hone" id="" value="" /></p>
					<p>
						性别：
						<select class="a2">
							<option value="xuan">请选择</option>
							<option value="nan">男</option>
							<option value="nv">女</option>
						</select>
					</p>
					<p>
						年龄：
						<select class="a2">
							<option value="xuan">请选择</option>
							<option value="old1">16</option>
							<option value="old2">17</option>
						</select>
					</p>
					<p><input class="a3" type="image" src="img/btn.jpg" /></p>
				</form>
			</div>
	</body>
</html>
